06-102198�s
City of Federal Way FIL&echanical Permit # 06 -102198 -00 -ME
Community Development Services•
P.0.8ox 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: SUPER SUPPLEMENTS
Project Address: 1401 S 348TH ST Suite M102 Parcel Number: 185295 0080
Project Description: Installation of interior ductwork, grilles & diffusers.
Owner
Applicant
Contractor
OPUS NORTHWEST LLC
PACIFIC AIR CONTROL, INC
PACIFIC AIR CONTROL, INC
OPUS NORTHWEST LLC
11812 NORTHCREEK PKWY N SUITE 104
PACIFAC2301`8 10/1/07
915 118TH AVE SE SUITE 300
BOTHELL WA 98011
11812 NORTHCREEK PKWY N SUITE 104
BELLEVUE WA 98005
BOT14ELL WA 98011
Additional Permit Information
Mechanical Valuation............................................7184 Over the Counter Permit? ...................................... No
Mechanical fixtures
............................. 12
PERMIT EXPIRES Monday, October 30, 2006
Permit Issued on Wednesday, May 3, 2006
I hereby certify that the above information is correct and that the construction on the above -described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way
Owner or agent: Date:
M
THIS CARD IS TO REMAIN ON-SITE
A 1%
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102198 -00 -ME
Owner: OPUS NORTHWEST LLC
Address: 1401 S 348TH ST Suite M102
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125)❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By L' , (j Date (o
14 R CEIVED
RECEIVED M��a.,,l� TAY Q gQ �_/cmor 0 3 L0�
Federal way PERM I
COMMUNITY DEVELOPMENT SERVICES MAY 0 3 2006SF MF CO ME LPL DE EN FP
33325 8T" AVENUE SOUTH • 63 BOX 9718 L I C A'1�4F ;WIRWALTW.A
FEDERAL WAY. FAX
98063-97 A
253-835-2607• FAX 253-835-��� OF FEDE
www.cituoffecleralwau.com BUILDING DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY• •
SITE ADDRESS 1405 South 348th Street, Federal Wady �j
�Sk 17 — M 10 Z SUITE/UNIT #
4
ASSESSOR'S TAR/PARCEL # / S Z 7! - 0 0 O 0 LOT SIZE (sf)`
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Com.
IAanch zep—w page.f� y-,uyu�y legal dc,er+rfw O F!
ZO--00
PROJECT•' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING eMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PR ION (Provide detailed description of work included on this permit onlu)
System Duct Work
PROJECT NAME (Name of Business or Owner Last
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
Super Supplement, Federal Way Crossing
( ) -
MAILING ADDRESS
CITY. STATE, ZIP
1405 S. 348th Street
Federal Way, Washington 97062
COMPANY NAM
JF
APPLICANT NAME
c�(l 4 w114"le
OFFICEPHONE
(� , 6eZ-,(3 93
Pacific Air Control
Chuck Wilme
( 206 ) 682 - 6393
MAILING ADDRESS
fi 8"Jy f1 0 "red— trj6//1/
C)TY, S A ZIP
Q .Washington 980//
CELL PHONE
(7p6)5/0 -037-?
CITY OF FEDERAL WAY BUSINESS LICENSE NUMVER
O- 1 0 / 2 £_f0 -B
EXPIRATION DATE
Z
// 31
FAX NUMBER
Q-ere)3y10 ,ZZ70
_20-0
L
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
CA- G-2-30 P 5
EXPIRATION DATE
ia/ 0, /0007
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Pacific Air Control
Chuck Wilme
( 206 ) 682 - 6393
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
11812 North Creek Parkway, No. 104
Bothell, Washington 98011
( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( 206 ) 340 - 2270
NAME PRIMARY PHONEE-p�'�.
IL �ALDIDRE'SS
Chuck Wilme ( 206 ) 682 - 6393 X14 q A0.
Per RCW 19.27.095.Lender irtformation is
NAME
required ifproject>value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $,
SPRINKLERED BUILDING?
❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Cohn
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
SQ. FT.
BASEMENT
NEW o ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLT?
❑ TES o NO
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
❑ TES
ONO
NEW ADDRESS RE$UI3tED?
FOURTH
UP/SEPA/SU?
❑ YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o TES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
%I
ESTING
PROPOSED
TOTAL
TOTAL EBISTS9G Sr
TOTALPROPOSMSP
TOTAL BP
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commereiai)
RANGES
GAS WATER HEATERS
WATER CLOSETS rrolieq
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the irtformation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its ooc and employees, upon the accuracy of the irtformation supplied to the city as a part of
this application.
NAME/TITLE Chuck Wilme Liason Agent DATE 404
(Signature) L., (7RIc)
RELATIONSHIP TO PROJECT ❑ Owner - _'agent
Contractor ❑ Architect ❑ Other
FQIt OFFICE USE ONLY
NEW o ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLT?
❑ TES o NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ TES
ONO
NEW ADDRESS RE$UI3tED?
o YES o NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT?
o TES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin #100 -January 1, 2006 Page 2 of 4 MandoutsTermit Application